Health maintenance organizations

Cavulus EMMA Technology Facilitates Medicare Advantage Enrollment Workflow

Retrieved on: 
Monday, March 29, 2021
Healthcare in the United States, Health in the United States, Managed care, Health maintenance organizations, Healthcare reform in the United States, Health, Blue Cross Blue Shield Association, Medicare Advantage, University of Pittsburgh Medical Center, Medicare

Currently, Medicare Advantage is finishing up the Open Enrollment Period (OEP), which ends March 31st.

Key Points: 
  • Currently, Medicare Advantage is finishing up the Open Enrollment Period (OEP), which ends March 31st.
  • "Our technology team at Cavulus confronted manual management of enrollment workflows in 2018 with introduction of our EMMA [Enrollment, Member Management & Administration] solution," said Phillips.
  • ABOUT CAVULUS -Cavulus is a technology driven specialist in Medicare Advantage insurance solutions.
  • The Cavulus Cloud-based Medicare Advantage Platform (Cavulus MAP) unifies marketing, sales and enrollment operations, and is utilized by many of America's top insurers, including several BlueCross/ BlueShield companies, UPMC Health Plan, Johns Hopkins, Lumeris and United Healthcare.

James G. Springfield Named President of Blue Cross and Blue Shield of Texas

Retrieved on: 
Thursday, March 25, 2021
Health Care Service Corporation, Insurance companies, Insurance in the United States, Insurance, Health maintenance organizations, Blue Cross Blue Shield Association, Types of insurance, Blue Cross, Health insurance, Health insurance in the United States

RICHARDSON, Texas, March 25, 2021 /PRNewswire/ --Health Care Service Corporation (HCSC) today announced James G. "Jim" Springfield, FACHE, has been named president of Blue Cross and Blue Shield of Texas (BCBSTX), beginning April 26.

Key Points: 
  • RICHARDSON, Texas, March 25, 2021 /PRNewswire/ --Health Care Service Corporation (HCSC) today announced James G. "Jim" Springfield, FACHE, has been named president of Blue Cross and Blue Shield of Texas (BCBSTX), beginning April 26.
  • "Jim's deep understanding of the Texas health care market and his passion for enhancing the overall health care system will serve BCBSTX and our members well," said Tikkanen.
  • BCBSTX is a Division of Health Care Service Corporation (HCSC) (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer.
  • Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

CareFirst Launches Initiative to Transform Workforce & Workplace Experience

Retrieved on: 
Wednesday, March 24, 2021
Health maintenance organizations, Microsoft, Software, Websites, CareFirst BlueCross BlueShield, Health insurance in the United States, Blue Cross Blue Shield Association, LinkedIn, Facebook

This strategy will transform CareFirsts corporate workspace and technology services to develop an innovative, equitable and engaging employee experience for over 7,000 associates and contingent workers.

Key Points: 
  • This strategy will transform CareFirsts corporate workspace and technology services to develop an innovative, equitable and engaging employee experience for over 7,000 associates and contingent workers.
  • Were excited for the next steps in our journey to successfully position the company and our workforce for the future, said Brian D. Pieninck, President and CEO of CareFirst.
  • Were preparing CareFirst for the workforce and workplace of the future, said Rose Megian, Executive Vice President, Enterprise Shared Services for CareFirst.
  • To learn more about CareFirst BlueCross BlueShield, visit our website at www.carefirst.com or follow us on Facebook , Twitter , LinkedIn or Instagram .

Ami Parekh, MD, JD, Elected to Blue Cross Blue Shield of Massachusetts Board of Directors

Retrieved on: 
Tuesday, March 23, 2021
Health maintenance organizations, Health insurance in the United States, Blue Cross Blue Shield Association, Blue Cross Blue Shield of Massachusetts, Blue Cross, Healthcare in the United States, Health care, States of the United States

BOSTON, March 23, 2021 /PRNewswire/ --Ami Parekh, MD, JD, chief medical officer of Grand Rounds, has been elected to the Blue Cross Blue Shield of Massachusetts ("Blue Cross") board of directors.

Key Points: 
  • BOSTON, March 23, 2021 /PRNewswire/ --Ami Parekh, MD, JD, chief medical officer of Grand Rounds, has been elected to the Blue Cross Blue Shield of Massachusetts ("Blue Cross") board of directors.
  • "Dr. Parekh is passionate about helping consumers access high-quality health care and make better, more informed health care decisions," said Dorothy Puhy, chair of the Blue Cross board.
  • Blue Cross' board helps set strategy and overall direction within a highly competitive and heavily regulated business environment.
  • Blue Cross Blue Shield of Massachusetts ( bluecrossma.org ) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.

7 Tips to Help Guide You Through the Special Enrollment Period

Retrieved on: 
Monday, March 22, 2021
Health maintenance organizations, Blue Cross Blue Shield Association

Blue Cross and Blue Shield of Texas (BCBSTX) is offering help in selecting a health plan during the federal marketplace's Special Enrollment Period (SEP) that runs until May 15, 2021.

Key Points: 
  • Blue Cross and Blue Shield of Texas (BCBSTX) is offering help in selecting a health plan during the federal marketplace's Special Enrollment Period (SEP) that runs until May 15, 2021.
  • Subsidies helped 92% of Texans lower their monthly bill in 2020 for plans purchased on the exchange.
  • Here are seven tips to help guide you through the process of selecting a health plan:
    Know the SEP enrollment deadline: Enrollment ends May 15, 2021.
  • Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

DataLink and Aetna CVS Health Joint Presentation at RISE National 2021 Live Streaming Event: Insights on the Data Lag Problem and How to Overcome It

Retrieved on: 
Tuesday, March 23, 2021
Software, Managed care, General Health, Health, Data management, Technology, Other Technology, Other Health, Healthcare in the United States, Health care, Health maintenance organizations, Health, Healthcare reform in the United States, Aetna, CVS Health, Managed care, Medicare Advantage, Medicare

The session, The Data Lag Problem and How to Overcome It, Tues. March 30, 2021, 2:00 p.m. 2:45 p.m.

Key Points: 
  • The session, The Data Lag Problem and How to Overcome It, Tues. March 30, 2021, 2:00 p.m. 2:45 p.m.
  • ET, features Josh Hetler, executive vice president, Business Intelligence, DataLink Software, and Marcia Guida, MS-CH, MBA, MS-HP, CPC, senior director, Provider Technology Ecosystems, Aetna CVS Health.
  • Our presentation will discuss strategies and best practices for payers and providers to lessen the impact of missing patient data, data capture, patient engagement and access to care.
  • RISE National is the nations trusted source for Medicare Advantage insights, ranging from risk adjustment and quality to member experience and social determinants of health.

Blue Cross Blue Shield Association Statement on Rise in Violence Against the Asian Community

Retrieved on: 
Thursday, March 18, 2021
Color, Health maintenance organizations, Blue Cross Blue Shield Association, Blue Shield, Blue, Vision

CHICAGO, March 18, 2021 /PRNewswire/ --Today, the Blue Cross Blue Shield Association's president and CEO Kim Keck issued the following statement:

Key Points: 
  • CHICAGO, March 18, 2021 /PRNewswire/ --Today, the Blue Cross Blue Shield Association's president and CEO Kim Keck issued the following statement:
    The deadly attack this week in Atlanta is the latest in a surge of violence against the Asian community during the coronavirus pandemic.
  • Being true to our Pledge to Make Meaningful Change, we at the Blue Cross Blue Shield Association stand together to condemn these violent acts of racism and we are committed to creating lasting social change for all Americans.
  • At Blue Cross Blue Shield Association, we stand with our Asian and Asian American employees and support our member companies that provide coverage and community support to the over one hundred million Americans representing the diversity and strength of our country.
  • The Blue Cross Blue Shield Association is a national federation of 35 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans.

Blue Cross Blue Shield of Massachusetts Statement on Rise in Anti-Asian Attacks

Retrieved on: 
Wednesday, March 17, 2021
Health maintenance organizations, Blue Cross Blue Shield of Massachusetts, Health insurance in the United States, Blue Shield, Blue Cross Blue Shield Association, Boston, States of the United States, Geography of Massachusetts, Massachusetts

BOSTON, March 17, 2021 /PRNewswire/ --Andrew Dreyfus, president and CEO of Blue Cross Blue Shield of Massachusetts , shared the following message today with the company's 3,700 employees:

Key Points: 
  • BOSTON, March 17, 2021 /PRNewswire/ --Andrew Dreyfus, president and CEO of Blue Cross Blue Shield of Massachusetts , shared the following message today with the company's 3,700 employees:
    Many of us are feeling pain and shock amid a rise in violence against Asian Americans, pain exacerbated by last night's attacks in Georgia.
  • Bigotry, bias, and stereotyping, stoked by false and dangerous language during this pandemic, have no place in our society.
  • And still, still they are forced to live in fear for their lives just walking down streets in America.
  • Blue Cross Blue Shield of Massachusetts ( bluecrossma.com ) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.

MDVIP Named to Fortune 2021 Best Workplaces in Healthcare & Biopharma™

Retrieved on: 
Tuesday, March 16, 2021
Health care, Health, Primary care, Articles, Health maintenance organizations, Healthcare in the United States, MDVIP, Concierge medicine

BOCA RATON, Fla., March 16, 2021 /PRNewswire/ -- MDVIP , the market leader in personalized healthcare with a network of over 1,100 primary care physicians nationwide,has been honored by Fortuneand Great Place to Work as one of the 2021 Best Workplaces in Healthcare & Biopharma .

Key Points: 
  • BOCA RATON, Fla., March 16, 2021 /PRNewswire/ -- MDVIP , the market leader in personalized healthcare with a network of over 1,100 primary care physicians nationwide,has been honored by Fortuneand Great Place to Work as one of the 2021 Best Workplaces in Healthcare & Biopharma .
  • MDVIP is the only national primary care network named to Fortune 2021 Best Workplaces in Healthcare & Biopharma list.
  • The Fortune Best Workplaces in Healthcare & Biopharma list is published here: https://www.greatplacetowork.com/best-workplaces/health-care/2021
    Based inBoca Raton, Florida, MDVIP leads the market in membership-based healthcare that goes far beyond concierge medicine services.
  • To learn more about Great Place to Work Certification and recognition on Best Workplaces lists published withFortune, visit Greatplacetowork.com .

Jeff Davis Named President of Healthy Blue in Missouri

Retrieved on: 
Thursday, March 11, 2021
General Health, Professional services, Health, Insurance, Health maintenance organizations, Insurance in the United States, States of the United States, Health insurance in the United States, Blue Cross and Blue Shield of Kansas City, Blue Cross Blue Shield Association, Financial services in the United States, Anthem, Kansas City metropolitan area, Kansas City, Missouri

Missouri Care, Inc. announced today that Jeff Davis has been named president of the Healthy Blue health plan, a collaboration between Missouri Care, Inc. and Blue Cross and Blue Shield of Kansas City and a leading managed care provider of health benefits for Missouris MO HealthNet (Medicaid) program.

Key Points: 
  • Missouri Care, Inc. announced today that Jeff Davis has been named president of the Healthy Blue health plan, a collaboration between Missouri Care, Inc. and Blue Cross and Blue Shield of Kansas City and a leading managed care provider of health benefits for Missouris MO HealthNet (Medicaid) program.
  • Davis succeeds Lou Gianquinto, who recently was named president of Anthem Blue Cross and Blue Shields commercial health plan in Connecticut.
  • Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.
  • Missouri Care, Inc. and Blue Cross and Blue Shield of Kansas City are both independent licensees of the Blue Cross and Blue Shield Association.